METERED UTILITY VERIFICATION FORM This form must be completed in its entirety by the Local Recipient Organization providing services, as all information is required for each utility payment made with.

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How to fill out the METERED UTILITY VERIFICATION FORM - EFSP Website - Efsp Unitedway online

Completing the Metered Utility Verification Form is essential for organizations providing utility payment assistance under the Emergency Food and Shelter Program. This guide provides clear, step-by-step instructions to help users accurately fill out the form online and ensure compliance with program requirements.

Follow the steps to successfully complete the Metered Utility Verification Form online.

  1. Press the ‘Get Form’ button to obtain the Metered Utility Verification Form, making it easily accessible for online completion.
  2. Begin filling out the client information section, entering the client's name, customer account number, complete address, and complete service address.
  3. Indicate the utility payment type by circling the appropriate option: Electric, Gas, or Water.
  4. Fill in the date range covered by the attached bill, specifying the start and end dates of the billing period.
  5. Enter the due date of the attached bill.
  6. Select whether the payment is for current month utilities or past due utilities.
  7. Specify the amount being paid and for which month and year, ensuring it does not exceed one month's billing.
  8. Complete the agency or Local Recipient Organization (LRO) use section by verifying the information with the utility company and providing the necessary details, including the verification date, utility company name, and contact person.
  9. Ensure that the name and signature of the LRO staff person conducting the verification are included.
  10. Review all entries to make sure the form is complete, save changes, and choose to download, print, or share the form as required.

Complete your documents online now to ensure timely submission and compliance.

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What is an Efsp?

An electronic filing service provider (EFSP) is a third party that provides eFiling services. EFSP's will pre-authorize and process payments for court filings and transmit your information and documents to the Court.

Emergency Food and Shelter National Board Program (EFSP) Website - User Guide for Local Recipient Organizations (LROs)

The EFSP was authorized under the Stewart B. McKinney Homeless Assistance Act (P.L. 100-77 signed into law on July 24, 1987, since renamed the McKinney-Vento Homeless Assistance Act and subsequently reauthorized under P.L. 100-628, signed into law on November 7, 1988).

A Fiscal Agent must be a member of the Local Board. The Fiscal Agent must also be approved by the Local Board and the National Board via its Secretariat and Fiscal Agent, United Way Worldwide (UWW). There can only be one Fiscal Agent per community.

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